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- Title
A rare entity of undifferentiated pleomorphic sarcoma of the mandible - A case report.
- Authors
Archana, T; Shetty, Akshay; Imran, Mohammed; Ahmed, Nida; Kumar, Praveen; Shruthi, T
- Abstract
The Rationale: Undifferentiated pleomorphic sarcoma originally known as malignant fibrous histiocytoma was declassified by the World Health Organization in 2002 as a formal diagnostic entity and renamed as an undifferentiated pleomorphic sarcoma. It accounts for <1% of malignant tumours of the long bone. Patient Concerns: A 33-year-old male patient reported with swelling and pain in the lower left posterior jaw region for 3 months with a history of fall on the floor 3 months back. Diagnosis: On examination, diffuse solitary swelling was present on the left lower third of the face and was diagnosed radiographically and histopathologically as undifferentiated pleomorphic sarcoma of the mandible. Treatment and Outcomes: Selective neck dissection, followed by reconstruction with fibula osteomyocutaneous flap and then referred for adjuvant radiotherapy. Take-away Lessons: Vimentin staining plays a substantial role in the diagnosis of undifferentiated pleomorphic sarcoma. A long-term follow-up after treatment is required to increase the chances of disease-free survival for the patients.
- Subjects
WORLD Health Organization; SARCOMA; MANDIBLE; DERMATOFIBROMA; DIAGNOSIS; MULTINUCLEATED giant cells
- Publication
Annals of Maxillofacial Surgery, 2021, Vol 11, Issue 1, p156
- ISSN
2231-0746
- Publication type
Article
- DOI
10.4103/ams.ams_334_20